Inmate Registration

1. Prisoner's name *
2. Civil or Military * Select:CivilMilitary
3. Country * ---
4. State / Province * ---
5. Case Description *
6. Characters Remaining: 2000
7. Detention Date *
8. Reclusion Date *
9. Reclusion Place *
10. Judged * YesNoPending
11. Torture Victim * YesNoSuspicion
12. Inmate Representative * Select:ParentsWife/Husband.Legal Attorney
13. Representative name *
14. Phone Number (Optional)
15. Email
16. Preferred Contact Method EmailPhone
Documentation
17. Upload prisoner photo for profile Prisoner photo for profile. The photo must be a front photo. - Allowed file types: jpg, jpeg, png, pdf. - Maximum upload size allowed: 5 MB
18. Upload Prisoner's identity document * Prisoner's identity document ID Card, Passport. - Allowed file types: jpg, jpeg, png, pdf. - Maximum upload size allowed: 5 MB
Documentation Representative Prisoner
19. Upload representative's identity document Representative's identity document ID. - Allowed file types: jpg, jpeg, png, pdf. - Maximum upload size allowed: 5 MB
Documentation for Attorney of Prisoner
20. Upload Power of attorney Power of attorney of legal representation. - Allowed file types: jpg, jpeg, png, pdf. - Maximum upload size allowed: 5 MB

Authorizes to be registered in the world registry of political prisoners and prisoners of conscience and to be sponsored by a sponsor to make them visible to the world.

21. Your data will be treated with maximum confidentiality, the contact information you provide will never be shared, the information will only be used for the purposes of visibility and sponsorship of political prisoners and prisoners of conscience profiles in this platform.

This form can be submitted up to 1 times.